NPI | 1023334497 |
---|---|
Former Name | MIJA DELANEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21089) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 666443) |
Enumeration Date | 2010-04-10 |
Last Update Date | 2012-02-14 |